GoHealth (GOCO) Unveils Encompass Platform To Drive Value-Based Care Engagement

By Dan Anderson ● Aug 8, 2020
  • Leading health insurance marketplace GoHealth, Inc. (NASDAQ: GOCO) has announced a proprietary Encompass Platform, which will double down on the value-based care model as a key component in the future of Medicare Advantage care delivery

Leading health insurance marketplace GoHealth, Inc. (NASDAQ: GOCO) has announced a proprietary Encompass Platform, which will double down on the value-based care model as a key component in the future of Medicare Advantage care delivery. And GoHealth’s Encompass Platform is a digital health solution that connects consumer insights and essential functions across the customer journey to identify early interventions that the company believes will improve a patient’s coverage, drive superior health outcomes, and better connect customers with key players in the healthcare ecosystem.

The platform offering enables a holistic and technology-driven approach for improving customer engagement with value-based care models during initial Medicare Advantage plan selection and enrollment as well as during a series of post-sale multi-channel engagements facilitated by GoHealth’s TeleCare team and dynamic marketing automation tools.

The driving of meaningful conversations and promoting positive actions around value-based care throughout the entire consumer lifecycle helps ensure customer plan satisfaction, which ultimately delivers better health outcomes for customers and creates stronger connections between providers, payers, and patients.

GoHealth utilizes the Encompass Platform to collaborate with its payer and value-based provider partners to coordinate outreach beyond enrollment, empowering customers to appropriately engage with their Medicare benefits to address their health and wellness concerns.

According to the National Council on Aging, about 80% of seniors have at least one chronic disease, and 77% have at least two, which represents a population that requires advanced care and medication coordination. With an emphasis on accessible, coordinated, high-quality care, value-based care models are positioned to improve health outcomes and customer satisfaction for this population.

And as the industry continues to shift from a traditional fee-for-service to a value-based care delivery model, GoHealth’s position as a trusted advisor during upfront plan selection and a partner throughout a customer’s entire healthcare journey is invaluable in driving meaningful engagement into value-based care models.

The industry has been showing trends that providers and payers support a value-based care model and GoHealth’s holistic approach to customer engagement advances value-based efforts, and continues to be the bridge to better health and wellness for Medicare beneficiaries.

GoHealth is committed to the delivery of new and innovative solutions that improve the healthcare system in America. And the Encompass Platform enables GoHealth to work towards that mission as it partners with providers, payers, and other players in the healthcare ecosystem to simplify customers’ healthcare journeys and promote health-focused outcomes.

KEY QUOTES:

“Value-based care within Medicare Advantage is increasingly becoming an optimal care model for the customer, provider, and broader healthcare industry. As we look at this space, GoHealth can advance the value-based care model through our Encompass Platform by working with providers and customers to deliver better VBC (Value-Based Care) integration and engagement tools.  This will best position our 200+ person TeleCare team to deliver an unparalleled customer experience and help the Medicare population achieve better health outcomes, a win-win for all.”

— Ben Miller, Senior Vice President of Strategic Partnerships

“For GoHealth and our partners, providing better access to healthcare is always the end goal. This innovative offering within our Encompass Platform helps to better coordinate customers’ selection and engagement into the right care model for them and connect the appropriate players in the healthcare ecosystem to optimize health outcomes.”

— Jake Gudmundsen, President of Medicare & Internal Distribution